LLNL STEM SCHOLARSHIP for Las Positas College
2019 Application Form
Deadline Thursday April 18, 2019 10:00 pm
Name___________________________________________________ Student ID ___________________________
Email __________________________________________________ Phone (______) __________________________
Address_________________________________________________ City________________________ Zip__________
Current academic goal at LPC: AA or AS degree AA or AS Degree and Transfer Transfer only
Official Major at LPC________________________________________
Intended Career Goal_______________________________________________________________________________
Where will you be attending college Fall 2019?__________________________________________________________
Please answer statement: I am the first generation in my immediate family to attend college. Yes No
Current Cumulative GPA: ___________ Anticipated Graduation Date from LPC: _________________________
List all courses and grades earned for STEM classes completed at LPC:
________________________________ ________________________________ ________________________________
________________________________ ________________________________ ________________________________
________________________________ ________________________________ ________________________________
________________________________ ________________________________ ________________________________
Name of LPC Faculty member submitting Letter of Recommendation:___________________________________
Department of LPC Faculty Member______________________________________________________________
In addition to this application form:
1. Please attach an essay statement to your application addressing the following question: “Why do you want to pursue
a career in STEM?’ (maximum 1 page)
2. Attach a copy of your unofficial transcript to your application (may be a print-out from Class Web or from Admissions
and Reccords)
3. Attach your instructor’s recommendation to your application (may be in a sealed envelope; the recommendation may
also be forwarded DIRECTLY to the financial aid office by the instructor, but must be received by the April 18 deadline)
SUBMIT COMPLETE APPLICATION AND ATTACHMENTS TO THE FINANCIAL AID OFFICE, 2
nd
FLOOR, BUILDING 1600
Student Signature__________________________________________________ Date __________________.